Individual
KRISTIE ELLEN BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407-5423
(707) 565-4811
(707) 565-4881
Mailing address
2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407-5423
(707) 565-4811
(707) 565-4881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
03/06/2026
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